Erica Bo Kyung Wang, MD | |
300 Pasteur Dr, Stanford, CA 94305-2200 | |
(650) 723-4000 | |
Not Available |
Full Name | Erica Bo Kyung Wang |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 300 Pasteur Dr, Stanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780039644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A156279 (California) | Primary |
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
---|---|
Erica Bo Kyung Wang, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Erica Bo Kyung Wang, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Gordon Hyeonjin Bae, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Anne Lynn Su Chang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Shehla Admani, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Jennifer Yu Wang, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Dr. Maria Susana Ortiz Urda, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 900 Blake Wilbur Drive, Stanford, CA 94305 Phone: 650-723-6316 Fax: 650-723-7796 | |
Jennifer Kylien Chen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Dr. Alfred Thomas Lane, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 900 Blake Wilbur Dr., W0071, Stanford, CA 94305 Phone: 650-723-6105 |